KCNH2 Variant F627L

Summary of observed carriers, functional annotations, and structural context for KCNH2 F627L. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

52%

6/13 effective observations

Total carriers

3

3 LQT2 · 0 unaffected

Functional studies

1

Publications with functional data

F627L has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 0% of WT with a standard error of 9%. In our analysis we used SE < 20% as 'high quality'. Approximately below 50% of WT is considered PS3 moderate and below 30% is PS3 strong.

Variant features alone are equivalent to phenotyping 3 individuals with LQT2 and 7 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-5.801 0.999 0 0.933 94

PROVEAN scores below -2 suggest deleterious impact. REVEL scores above 0.5–0.75 are often interpreted as likely pathogenic. PolyPhen-2 scores above 0.85 are typically pathogenic. BLAST-PSSM reflects evolutionary conservation; more negative values indicate rarer substitutions. Penetrance density summarises neighbouring residue risk (Kroncke et al. 2019).

Reported carrier data

Observed carriers by publication or cohort.
Source Year Carriers Unaffected LQT2 Other Disease
18848812 2008 2 0 2
11854117 2002 1 0 1
10973849 2000 1 0 1
24217263 2013 1 0 congenital LQT
Literature, cohort, and gnomAD 3 0 3
Variant features alone 10 7 3

Totals may differ from individual publications due to duplicate patients removed during curation.

Functional data

Functional assay results from published electrophysiology studies. Steady state (S.S.) and peak tail current are relative % to wildtype (100% being no different from wildtype). V1/2 activation and inactivation are the voltages at which half of the maximal current is reached, in mV. Recovery from inactivation and deactivation time are ratios of characteristic time constants with wildtype. HM indicates homomeric channels, HT indicates heteromeric channels.

Homomeric channel data

Published electrophysiology measurements (homomeric).
PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Recov. Inact. Deactivation (%WT)
18848812 None 0 None None None None

Heteromeric channel data

Published electrophysiology measurements (heteromeric).
PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Deactivation (%WT)
18848812 None 25 None None None

Nearby variants

Neighbouring residues within 15 Ångström provide structural context. Variants listed in the right-most column have been observed clinically or in gnomAD. Note that some residues appear multiple times at different distances since the functional KV11.1 channel (protein product of KCNH2/hERG) is a homotetramer and occasionally the same residue from multiple subunits is present within the 15Å window.

Previously observed variants near F627L.
Neighbour residue Distance (Å) Observed variants
627 0 F627fsX, F627L, F627L, F627X, F627L,
626 4 G626S, G626A, G626V,
626 5 G626S, G626A, G626V,
625 5 V625E,
628 6 G628A, G628S, G628R, G628V, G628D, G628Del,
620 6 S620G, S620I,
629 6 N629K, N629D, N629T, N629K, N629I, N629S,
616 6 Y616S,
631 6 S631F,
632 7 P632S, P632A,
628 7 G628A, G628S, G628R, G628V, G628D, G628Del,
621 7 S621R, S621N, S621R, S621R,
641 7 S641F, S641P,
630 8 V630T, V630A, V630I,
630 8 V630T, V630A, V630I,
620 8 S620G, S620I,
617 8 F617L, F617V, F617L, F617L
645 8 M645I, M645V, M645I, M645I, M645L, M645L, M645R,
625 8 V625E,
627 9 F627fsX, F627L, F627L, F627X, F627L,
627 9 F627fsX, F627L, F627L, F627X, F627L,
626 9 G626S, G626A, G626V,
617 9 F617L, F617V, F617L, F617L
638 9 K638E, K638Del, K638R, K638D,
624 9 S624R, S624R, S624R, S624N,
625 9 V625E,
626 9 G626S, G626A, G626V,
621 9 S621R, S621N, S621R, S621R,
624 9 S624R, S624R, S624R, S624N,
623 10 T623I,
631 10 S631F,
642 10 I642Del, I642V,
629 10 N629K, N629D, N629T, N629K, N629I, N629S,
633 10 N633S, N633D, N633I,
628 10 G628A, G628S, G628R, G628V, G628D, G628Del,
644 11 V644F, V644I,
619 11
637 11 E637X, E637G, E637K,
613 11 T613K, T613M, T613A, T613L,
628 11 G628A, G628S, G628R, G628V, G628D, G628Del,
625 11 V625E,
618 11 T618S, T618S,
618 11 T618S, T618S,
616 11 Y616S,
640 11 F640L, F640L, F640V, F640Del, F640L,
623 12 T623I,
622 12 L622F,
624 12 S624R, S624R, S624R, S624N,
568 12 W568C, W568C,
627 12 F627fsX, F627L, F627L, F627X, F627L,
624 12 S624R, S624R, S624R, S624N,
622 12 L622F,
615 12 L615F, L615V,
629 12 N629K, N629D, N629T, N629K, N629I, N629S,
614 12 A614V, A614T,
632 13 P632S, P632A,
639 13 I639N, I639F,
634 13 T634S, T634I, T634A, T634S, T634P,
585 13 W585C, W585C,
592 13 Q592X,
612 13 V612L, V612A, V612L,
643 13
620 13 S620G, S620I,
631 13 S631F,
648 14 G648A,
619 14
614 14 A614V, A614T,
645 14 M645I, M645V, M645I, M645I, M645L, M645L, M645R,
588 14 N588K, N588K, N588D,
641 14 S641F, S641P,
613 14 T613K, T613M, T613A, T613L,
646 14
632 14 P632S, P632A,
636 14
621 14 S621R, S621N, S621R, S621R,
645 14 M645I, M645V, M645I, M645I, M645L, M645L, M645R,
620 14 S620G, S620I,
584 14 G584C, G584R, G584S,
635 14 N635I,
649 14
589 14 L589P,
568 14 W568C, W568C,
585 14 W585C, W585C,
588 14 N588K, N588K, N588D,
629 15 N629K, N629D, N629T, N629K, N629I, N629S,
623 15 T623I,
644 15 V644F, V644I,
630 15 V630T, V630A, V630I,
616 15 Y616S,
564 15 L564L,
630 15 V630T, V630A, V630I,